Individual
MAKITA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W CENTRAL AVE, MOULTRIE, GA 31768-3859
(770) 750-5476
Mailing address
1330 US HIGHWAY 319 N LOT 82, NORMAN PARK, GA 31771-6120
(770) 750-5476
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0030095152
GA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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